Individual
MRS. KATHERINE ANN VITELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4909 GREEN WOOD DR SW, OLYMPIA, WA 98502
(360) 789-9974
Mailing address
4909 GREEN WOOD DR SW, OLYMPIA, WA 98502
(360) 789-9974
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00142461
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN00142461
—
WA
Enumeration date
08/01/2019
Last updated
08/01/2019
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